State
Policies
Table I: Policies Regarding Third Party Payments for
SBHC Services
| SBHCs are eligible for services through
fee-for-service Medicaid |
Yes |
| SBHCs are eligible for service through
fee-for-service SCHIP |
Yes |
| State policy specifically prohibits
SBHCs from billing Medicaid |
No |
| State requires through law, managed
care ocntracts, or regulations that Medicaid managed
care provider networks include SBHCs |
Yes |
| State prohibits SBHCs from being paid
for care provided to Medicaid managed care beneficiaries |
No |
| State requires through law, managed
care contracts or regulations that SCHIP managed care
provider networks include SBHCs |
No |
| State encourages through law, managed
care contracts or regulations that SCHIP managed care
provider networks include SBHCs |
Yes |
Table II: Programs and Policies that Support SBHCs
| Is there a program unit that is responsible
for providing techinical assistance to communities
interested in SBHCs? |
Yes |
| Does this office administer a grant
program that supports SBHCs? |
Yes |
| Does the state have targeting guidelines for state-funded
SBHCs? |
Yes |
| Has the state established operating standards
for SBHCs?* |
Yes |
| Are SBHCs licensed by state health licensing authority? |
No |
*Operating
standards for SBHCs in Oregon are recommended.
Table III: SBHCs and Managed Care Experience
| Do any SBHCs in the state have contracts
with managed care plans? |
Yes |
| Do any SBHCs participate in commercial
plans? |
No |
| Does state law permit nurse practitioners
to participate in managed care provider networks
as primary care providers? |
Yes |
Table IV: SBHCs and Community Support
| Has the state health department or
education agency sponsored polls or organized focus
groups to identify public interest and concerns
regarding SBHCs? |
Yes |
| Has the state agency been asked to
provide information on how to start, operate, or
fund a SBHC? |
Yes |
| Has the state agency been contacted
by persons who were worried about the opening of
a SBHC in their community? |
No |
| Has the agency been contacted by
persons opposed to the opening of SBHCs in the state? |
No |
| Do SBHCs assess parent and/or student
satisfaction with their services? |
Yes |
State
Funds for SBHCs for School Year 1999/2000
| State General Fund |
$1,259,000 |
| Making the Grade |
$207,000 |
| Total |
$1,466,000 |
Source:
National Survey of School-Based Health Centers 2000,
Making the Grade
|